Orgaz-Molina J, Cotugno M, Girón-Prieto M S, Arrabal-Polo M A, Ruiz-Carrascosa J C, Buendía-Eisman A, Arias-Santiago S
Dermatology Department, San Cecilio University Hospital, Granada, Spain.
GranadaSchool of Medicine, Granada University, Spain.
Actas Dermosifiliogr. 2015 Jul-Aug;106(6):493-9. doi: 10.1016/j.ad.2015.01.011. Epub 2015 Mar 21.
The use of the Internet to search for medical information is considered by some physicians as an invasion of their medical domain and a reflection of a lack of trust in their advice and recommendations.
The main objective of this study was to estimate the amount of medical information gathered from the Internet and to establish whether these online searches reflect a lower degree of patient satisfaction.
A survey was conducted among 175 patients seen at the melanoma and psoriasis units of San Cecilio University Hospital in Granada, Spain between May 2010 and December 2011.
Online searches for medical information were performed by 44.4% of patients who returned correctly completed questionnaires. The main reasons given for these searches were to complement appropriate information provided by the physician (67.3%) and to gather information before consultation with the physician (36.5%). Variables associated with the search for medical information on the Internet in the multivariate analysis were a higher educational level, a higher score on two items in the Need for Cognition Scale, and consultation of mass media other than the Internet.
Studies with larger numbers of patients and other diseases, however, are required to confirm these results.
The search for medical information is a widespread reality among patients with psoriasis and melanoma and it is not associated with a poor relationship with the physician. Dermatologists can play a beneficial role by recommending trustworthy Internet sites during the patient's visit and by promoting the development of pages by scientific societies to provide high-quality information.
一些医生认为利用互联网搜索医疗信息是对他们医疗领域的侵犯，也是对他们的建议和推荐缺乏信任的一种体现。
本研究的主要目的是估计从互联网收集到的医疗信息量，并确定这些在线搜索是否反映出患者满意度较低。
2010年5月至2011年12月期间，对西班牙格拉纳达圣塞西利奥大学医院黑色素瘤和银屑病科室诊治的175名患者进行了一项调查。
在正确填写问卷并返回的患者中，44.4%进行了在线医疗信息搜索。进行这些搜索的主要原因是补充医生提供的适当信息（67.3%）以及在咨询医生之前收集信息（36.5%）。多变量分析中与在互联网上搜索医疗信息相关的变量包括较高的教育水平、认知需求量表中两个项目的较高得分以及除互联网之外对大众媒体的咨询。
然而，需要对更多患者和其他疾病进行研究以证实这些结果。
搜索医疗信息在银屑病和黑色素瘤患者中是普遍存在的现实，且与医患关系不佳无关。皮肤科医生可以通过在患者就诊期间推荐可靠的互联网站点以及推动科学协会开发网页以提供高质量信息来发挥有益作用。
